Clinical and Immunological Features of Human BCL10 Deficiency
The CARD-BCL10-MALT1 (CBM) complex is critical for the proper assembly of human immune responses. The clinical and immunological consequences of deficiencies in some of its components such as CARD9, CARD11, and MALT1 have been elucidated in detail. However, the scarcity of BCL10 deficient patients h...
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oai:doaj.org-article:8741b9bb80a4423bab400712dd1659fa2021-11-12T07:11:34ZClinical and Immunological Features of Human BCL10 Deficiency1664-322410.3389/fimmu.2021.786572https://doaj.org/article/8741b9bb80a4423bab400712dd1659fa2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.786572/fullhttps://doaj.org/toc/1664-3224The CARD-BCL10-MALT1 (CBM) complex is critical for the proper assembly of human immune responses. The clinical and immunological consequences of deficiencies in some of its components such as CARD9, CARD11, and MALT1 have been elucidated in detail. However, the scarcity of BCL10 deficient patients has prevented gaining detailed knowledge about this genetic disease. Only two patients with BCL10 deficiency have been reported to date. Here we provide an in-depth description of an additional patient with autosomal recessive complete BCL10 deficiency caused by a nonsense mutation that leads to a loss of expression (K63X). Using mass cytometry coupled with unsupervised clustering and machine learning computational methods, we obtained a thorough characterization of the consequences of BCL10 deficiency in different populations of leukocytes. We showed that in addition to the near absence of memory B and T cells previously reported, this patient displays a reduction in NK, γδT, Tregs, and TFH cells. The patient had recurrent respiratory infections since early childhood, and showed a family history of lethal severe infectious diseases. Fortunately, hematopoietic stem-cell transplantation (HSCT) cured her. Overall, this report highlights the importance of early genetic diagnosis for the management of BCL10 deficient patients and HSCT as the recommended treatment to cure this disease.Blanca Garcia-SolisBlanca Garcia-SolisBlanca Garcia-SolisAna Van Den RymAna Van Den RymAna Van Den RymJareb J. Pérez-CaraballoJareb J. Pérez-CaraballoAbdulwahab Al–AyoubiAnas M. AlazamiLazaro LorenzoCarolina Cubillos-ZapataCarolina Cubillos-ZapataEduardo López-CollazoAntonio Pérez-MartínezAntonio Pérez-MartínezLuis M. AllendeJanet MarkleJanet MarkleMiguel Fernández-ArqueroMiguel Fernández-ArqueroSilvia Sánchez-RamónSilvia Sánchez-RamónMaria J. RecioMaria J. RecioJean-Laurent CasanovaJean-Laurent CasanovaJean-Laurent CasanovaJean-Laurent CasanovaReem MohammedReem MohammedRubén Martinez-BarricarteRubén Martinez-BarricarteRebeca Pérez de DiegoRebeca Pérez de DiegoRebeca Pérez de DiegoFrontiers Media S.A.articleprimary immunodeficiencycombined immunodeficiencyBCL10autosomal recessivemass cytometrycomputational immunologyImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021) |
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primary immunodeficiency combined immunodeficiency BCL10 autosomal recessive mass cytometry computational immunology Immunologic diseases. Allergy RC581-607 |
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primary immunodeficiency combined immunodeficiency BCL10 autosomal recessive mass cytometry computational immunology Immunologic diseases. Allergy RC581-607 Blanca Garcia-Solis Blanca Garcia-Solis Blanca Garcia-Solis Ana Van Den Rym Ana Van Den Rym Ana Van Den Rym Jareb J. Pérez-Caraballo Jareb J. Pérez-Caraballo Abdulwahab Al–Ayoubi Anas M. Alazami Lazaro Lorenzo Carolina Cubillos-Zapata Carolina Cubillos-Zapata Eduardo López-Collazo Antonio Pérez-Martínez Antonio Pérez-Martínez Luis M. Allende Janet Markle Janet Markle Miguel Fernández-Arquero Miguel Fernández-Arquero Silvia Sánchez-Ramón Silvia Sánchez-Ramón Maria J. Recio Maria J. Recio Jean-Laurent Casanova Jean-Laurent Casanova Jean-Laurent Casanova Jean-Laurent Casanova Reem Mohammed Reem Mohammed Rubén Martinez-Barricarte Rubén Martinez-Barricarte Rebeca Pérez de Diego Rebeca Pérez de Diego Rebeca Pérez de Diego Clinical and Immunological Features of Human BCL10 Deficiency |
description |
The CARD-BCL10-MALT1 (CBM) complex is critical for the proper assembly of human immune responses. The clinical and immunological consequences of deficiencies in some of its components such as CARD9, CARD11, and MALT1 have been elucidated in detail. However, the scarcity of BCL10 deficient patients has prevented gaining detailed knowledge about this genetic disease. Only two patients with BCL10 deficiency have been reported to date. Here we provide an in-depth description of an additional patient with autosomal recessive complete BCL10 deficiency caused by a nonsense mutation that leads to a loss of expression (K63X). Using mass cytometry coupled with unsupervised clustering and machine learning computational methods, we obtained a thorough characterization of the consequences of BCL10 deficiency in different populations of leukocytes. We showed that in addition to the near absence of memory B and T cells previously reported, this patient displays a reduction in NK, γδT, Tregs, and TFH cells. The patient had recurrent respiratory infections since early childhood, and showed a family history of lethal severe infectious diseases. Fortunately, hematopoietic stem-cell transplantation (HSCT) cured her. Overall, this report highlights the importance of early genetic diagnosis for the management of BCL10 deficient patients and HSCT as the recommended treatment to cure this disease. |
format |
article |
author |
Blanca Garcia-Solis Blanca Garcia-Solis Blanca Garcia-Solis Ana Van Den Rym Ana Van Den Rym Ana Van Den Rym Jareb J. Pérez-Caraballo Jareb J. Pérez-Caraballo Abdulwahab Al–Ayoubi Anas M. Alazami Lazaro Lorenzo Carolina Cubillos-Zapata Carolina Cubillos-Zapata Eduardo López-Collazo Antonio Pérez-Martínez Antonio Pérez-Martínez Luis M. Allende Janet Markle Janet Markle Miguel Fernández-Arquero Miguel Fernández-Arquero Silvia Sánchez-Ramón Silvia Sánchez-Ramón Maria J. Recio Maria J. Recio Jean-Laurent Casanova Jean-Laurent Casanova Jean-Laurent Casanova Jean-Laurent Casanova Reem Mohammed Reem Mohammed Rubén Martinez-Barricarte Rubén Martinez-Barricarte Rebeca Pérez de Diego Rebeca Pérez de Diego Rebeca Pérez de Diego |
author_facet |
Blanca Garcia-Solis Blanca Garcia-Solis Blanca Garcia-Solis Ana Van Den Rym Ana Van Den Rym Ana Van Den Rym Jareb J. Pérez-Caraballo Jareb J. Pérez-Caraballo Abdulwahab Al–Ayoubi Anas M. Alazami Lazaro Lorenzo Carolina Cubillos-Zapata Carolina Cubillos-Zapata Eduardo López-Collazo Antonio Pérez-Martínez Antonio Pérez-Martínez Luis M. Allende Janet Markle Janet Markle Miguel Fernández-Arquero Miguel Fernández-Arquero Silvia Sánchez-Ramón Silvia Sánchez-Ramón Maria J. Recio Maria J. Recio Jean-Laurent Casanova Jean-Laurent Casanova Jean-Laurent Casanova Jean-Laurent Casanova Reem Mohammed Reem Mohammed Rubén Martinez-Barricarte Rubén Martinez-Barricarte Rebeca Pérez de Diego Rebeca Pérez de Diego Rebeca Pérez de Diego |
author_sort |
Blanca Garcia-Solis |
title |
Clinical and Immunological Features of Human BCL10 Deficiency |
title_short |
Clinical and Immunological Features of Human BCL10 Deficiency |
title_full |
Clinical and Immunological Features of Human BCL10 Deficiency |
title_fullStr |
Clinical and Immunological Features of Human BCL10 Deficiency |
title_full_unstemmed |
Clinical and Immunological Features of Human BCL10 Deficiency |
title_sort |
clinical and immunological features of human bcl10 deficiency |
publisher |
Frontiers Media S.A. |
publishDate |
2021 |
url |
https://doaj.org/article/8741b9bb80a4423bab400712dd1659fa |
work_keys_str_mv |
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